Transcription of Total Shoulder Arthroplasty/Hemiarthroplasty Protocol
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Total Shoulder Arthroplasty/Hemiarthroplasty Protocol Reuben Gobezie, Department of Orthopaedic Surgery Case Western Reserve University University Hospitals Total Shoulder Arthroplasty/Hemiarthroplasty Protocol : The intent of this Protocol is to provide the therapist with a guideline for the postoperative rehabilitation course of a patient that has undergone a Total Shoulder arthroplasty (TSA) or hemiarthroplasty (Humeral Head Replacement, HHR). It is not intended to be a substitute for appropriate clinical decision-making regarding the progression of a patient s post-operative course. The actual post surgical physical therapy management must be based on the surgical approach, physical exam/findings, individual progress, and/or the presence of post-operative complications. If a therapist requires assistance in the progression of a post-operative patient they should consult with Dr.
• No excessive stretching or sudden movements (particularly external rotation) ... • Continue above exercises • Assisted flexion and abduction in the scapular plane • Assisted external rotation ... avoid shoulder hyperextension / anterior capsule stretch. • Begin shoulder AROM against gravity.
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